This is a 2-year prospective observational study of fractures occurring in residents of a live in center for developmentally disabled adults that is designed to identify risk factors that predispose to injury in this group.
Fifty-eight individuals sustained 67 fractures during the study period.
Only 18 of the 67 (27%) fractures were witnessed by the healthcare staff.
Most fractures were diagnosed by subtle findings of erythema or swelling or by a change in the patient's behavior.
Thirty-three of 332 (10%) community ambulators compared with 25 of 103 (24%) less functional residents incurred fractures.
This difference is highly significant.
Thirty-one of the 58 (53%) patients who sustained fractures during the study had a history of fracture before the study period.
Thus, programs to reduce fractures should focus on residents with previous fractures and those with more severe disabilities.
Mots-clés Pascal : Infirmité motrice cérébrale, Trouble développement, Adulte, Homme, Mongolisme, Facteur risque, Institution spécialisée, Phacomatose Bourneville, Incidence, Complication, Fracture, Os, Epidémiologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Aberration chromosomique, Aneuploïdie, Maladie congénitale, Tumeur, Maladie héréditaire, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Cerebral palsy, Developmental disorder, Adult, Human, Down syndrome, Risk factor, Specialized institution, Bourneville syndrome, Incidence, Complication, Fracture, Bone, Epidemiology, Nervous system diseases, Central nervous system disease, Cerebral disorder, Chromosomal aberration, Aneuploidy, Congenital disease, Tumor, Genetic disease, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0485475
Code Inist : 002B16H. Création : 22/03/2000.